Individual
HOLLY FIDELIS PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-7878
(775) 982-4196
Mailing address
1155 MILL ST, MS M-14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN002628
NV
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN002628
NV
Other
Enumeration date
04/25/2017
Last updated
10/21/2022
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